| NPI | 1548813280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: CA 296763) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: CA 296763) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |